Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ronald J Small, DPM

Individual provider Foot Surgery Podiatrist · NPI 1174500722

Dr. Ronald J Small, DPM is a Podiatry in Philadelphia, Pennsylvania. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
39
Licensed in
PA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

104 W Cheltenham Ave
Philadelphia, PA 19120-1027
Phone: (215) 924-2521
Fax: (215) 924-2367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence SC003322L (PA)

Record details

NPI number1174500722
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedDecember 26, 2005
Last updated in NPPESOctober 14, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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